SMPIF80200_개인별청구현황조회.xrw 29 KB

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  1. <?xml version="1.0" encoding="EUC-KR"?>
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  4. <xhtml:head>
  5. <xhtml:title>Untitle</xhtml:title>
  6. <model id="model1">
  7. <instance id="instance1">
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  13. <rCVS/>
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  24. <submission id="TRZBC00102" mediatype="application/x-www-form-urlencoded" method="post"/>
  25. <submission id="TRPIF80200" mediatype="application/x-www-form-urlencoded" method="post" ref="/root/send" resultref="/root/main/list01"/>
  26. </model>
  27. <script type="javascript" src="../../../com/commonweb/js/common.js"/>
  28. <script type="javascript" src="../../../com/commonweb/js/tfHelper.js"/>
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  30. </xhtml:head>
  31. <xhtml:body guideline="1,1195;" style="margin-left:8; margin-top:0; margin-right:8; margin-bottom:0; ">
  32. <group id="group1" style="left:0px; top:0px; width:1195px; height:13px; ">
  33. <caption id="caption6" class="tit_1" style="left:0px; top:0px; width:800px; height:14px; ">개인별청구현황</caption>
  34. </group>
  35. <group id="group3" scroll="auto" style="left:0px; top:13px; width:1195px; height:744px; ">
  36. <group id="group2" style="left:0px; top:10px; width:1194px; height:35px; vertical-align:top; ">
  37. <shape id="roundrect1" class="roundrect_search" appearance="roundrect" ellipsewidth="10" ellipseheight="10" style="left:0px; top:0px; width:1194px; height:35px; background-color:#fffbf2; border-color:#ffd799; "/>
  38. <button id="btn_search" class="btn1_letter2" style="left:1123px; top:7px; width:56px; height:22px; ">
  39. <caption>조회</caption>
  40. </button>
  41. <line id="line13" class="line_4" style="x1:1108px; y1:7px; x2:1108px; y2:29px; border-color:#ffe4bb; border-left-style:solid; "/>
  42. <caption id="caption2" class="search_name" style="left:780px; top:8px; width:145px; height:17px; ">청구번호/청구분야 :</caption>
  43. <caption id="caption7" style="left:311px; top:9px; width:15px; height:15px; ">~</caption>
  44. <input id="ipt_fromacptym" ref="/root/send/fromacptym" class="input_search" style="left:222px; top:8px; width:85px; height:19px; "/>
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  47. <select1 id="rdo_term" ref="/root/send/termflag" appearance="full" cols="3" rows="1" overflow="visible" style="left:5px; top:8px; width:210px; height:17px; border-style:none; ">
  48. <choices>
  49. <item>
  50. <label>심사차수</label>
  51. <value>1</value>
  52. </item>
  53. <item>
  54. <label>진료연월</label>
  55. <value>2</value>
  56. </item>
  57. <item>
  58. <label>통보일자</label>
  59. <value>3</value>
  60. </item>
  61. </choices>
  62. </select1>
  63. <select1 id="cmb_clamfield" class="combo_search" appearance="minimal" style="left:1015px; top:8px; width:80px; height:19px; ">
  64. <choices>
  65. <item>
  66. <label>combo1</label>
  67. <value>combo1</value>
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  70. </select1>
  71. <input id="input1" ref="/root/send/toacptym" class="input_search" style="left:510px; top:8px; width:80px; height:19px; "/>
  72. <caption id="caption9" class="search_name" style="left:420px; top:8px; width:90px; height:17px; ">접수번호 :</caption>
  73. <input id="input2" ref="/root/send/toacptym" class="input_search" style="left:690px; top:8px; width:80px; height:19px; "/>
  74. <caption id="caption10" class="search_name" style="left:600px; top:8px; width:90px; height:17px; ">묶음번호 :</caption>
  75. </group>
  76. <datagrid id="grd_f101h" nodeset="/root/main/grid/f101h" class="datagrid1" caption="심사차수^청구번호^내원^분야^접수번호^묶음번호^심결건수^심사결정액^통보일자^진료월^진료기간^보험자종별^심사담당부^심사담당조^심사담당자^전화번호^VER^청구서일련번호^요양기관기호^지원^참조란^비고" colsep="^" colwidth="59, 65, 42, 48, 70, 65, 75, 78, 73, 75, 73, 79, 76, 84, 79, 73, 47, 100, 86, 47, 100" dataheight="23" defaultrows="2" focuscolor="#b9e5fb" mergecellsfixedrows="bycolrec" rowheight="35" rowsep="|" style="left:0px; top:75px; width:1194px; height:75px; ">
  77. <col ref="acptdd"/>
  78. <col/>
  79. <col/>
  80. <col/>
  81. <col/>
  82. <col/>
  83. <col/>
  84. <col/>
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  87. <col/>
  88. <col/>
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  90. <col/>
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  99. <caption id="caption5" class="tit_2" style="left:5px; top:55px; width:70px; height:13px; ">F020.1</caption>
  100. <line id="line3" class="line_1" style="x1:0px; y1:70px; x2:1194px; y2:70px; "/>
  101. <datagrid id="datagrid1" nodeset="/root/main/grid/f101h" class="datagrid1" caption="명일련^등록번호^수진자^진료형태^본인추가부담금^특정기호^주상병^요양개시일^초진료^재진료^초진횟수^초진가산^재진횟수^재진가산^입원일수^요양일수^처방횟수^비고^급여총액^본인부담금^특수장비^청구액^상한액초과금^구분^급여총액^본인부담금^보험자부담금^위탁검사^심사결정^조정합계I^조정합계II^상한액초과금^심사담당조^사업장기호^증번호^청구서일련번호^비고" colsep="^" colwidth="66, 74, 69, 68, 100, 70, 71, 73, 76, 70, 73, 71, 77, 74, 83, 77, 71, 73, 76, 79, 69, 73, 82, 72, 75, 70, 79, 80, 70, 66, 64, 77, 81, 71, 67, 100" dataheight="23" defaultrows="2" focuscolor="#b9e5fb" mergecellsfixedrows="bycolrec" rowheight="35" rowsep="|" style="left:0px; top:180px; width:1194px; height:75px; ">
  102. <col/>
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  138. </datagrid>
  139. <caption id="caption1" class="tit_2" style="left:5px; top:160px; width:70px; height:13px; ">F020.2</caption>
  140. <line id="line1" class="line_1" style="x1:0px; y1:175px; x2:1194px; y2:175px; "/>
  141. <caption id="caption3" class="tit_2" style="left:287px; top:265px; width:70px; height:13px; ">F020.3</caption>
  142. <line id="line2" class="line_1" style="x1:287px; y1:280px; x2:941px; y2:280px; "/>
  143. <datagrid id="datagrid2" nodeset="/root/main/grid/f101h" class="datagrid2" caption="줄번호^항^조정사유^I,II항^코드^처방명칭^단가^일투^총투^조정금액^심사불능세부사유코드^관련근거^비고^비고" colsep="^" colwidth="59, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100" dataheight="23" defaultrows="2" focuscolor="#b9e5fb" mergecellsfixedrows="bycolrec" rowheight="35" rowsep="|" style="left:287px; top:285px; width:654px; height:95px; ">
  144. <col ref="acptdd"/>
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  157. </datagrid>
  158. <datagrid id="datagrid3" nodeset="/root/main/grid/f101h" class="datagrid2" caption="처방전교부번호^줄번호^사유^코드^처방명칭^조정횟수^비고^비고" colsep="^" colwidth="59, 100, 100, 100, 100, 100, 100" dataheight="23" defaultrows="2" focuscolor="#b9e5fb" mergecellsfixedrows="bycolrec" rowheight="35" rowsep="|" style="left:287px; top:410px; width:654px; height:95px; ">
  159. <col ref="acptdd"/>
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  167. <caption id="caption4" class="tit_2" style="left:287px; top:390px; width:75px; height:13px; ">F020.6</caption>
  168. <line id="line4" class="line_1" style="x1:287px; y1:405px; x2:941px; y2:405px; "/>
  169. <datagrid id="datagrid4" nodeset="/root/main/grid/f101h" class="datagrid2" caption="줄번호^코드^처방명칭^수탁기관기호^위탁검사직접지급금^처리코드^비고^비고" colsep="^" colwidth="59, 100, 100, 100, 100, 100, 100" dataheight="23" defaultrows="2" focuscolor="#b9e5fb" mergecellsfixedrows="bycolrec" rowheight="35" rowsep="|" style="left:287px; top:535px; width:654px; height:95px; ">
  170. <col ref="acptdd"/>
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  178. <caption id="caption8" class="tit_2" style="left:287px; top:515px; width:75px; height:13px; ">F020.5</caption>
  179. <line id="line5" class="line_1" style="x1:287px; y1:530px; x2:941px; y2:530px; "/>
  180. <line id="line23" class="line_2" style="x1:0px; y1:332px; x2:281px; y2:332px; "/>
  181. <line id="line24" class="line_2" style="x1:0px; y1:357px; x2:281px; y2:357px; "/>
  182. <line id="line6" class="line_3" style="x1:0px; y1:732px; x2:281px; y2:732px; "/>
  183. <input id="input11" class="input_default" style="left:163px; top:361px; width:58px; height:19px; "/>
  184. <line id="line25" class="line_2" style="x1:0px; y1:382px; x2:281px; y2:382px; "/>
  185. <input id="input14" class="input_default" style="left:163px; top:336px; width:58px; height:19px; "/>
  186. <caption id="caption13" class="cell_1" style="left:0px; top:285px; width:160px; height:23px; vertical-align:middle; "/>
  187. <line id="line7" class="line_1" style="x1:0px; y1:280px; x2:282px; y2:280px; "/>
  188. <caption id="caption25" class="cell_1" style="left:0px; top:334px; width:160px; height:23px; vertical-align:middle; ">요양급여비용총액 합계</caption>
  189. <input id="input27" class="input_default" style="left:163px; top:386px; width:58px; height:19px; "/>
  190. <caption id="caption15" class="cell_1" style="left:0px; top:384px; width:160px; height:23px; vertical-align:middle; ">본인부담상한액초과금 합계</caption>
  191. <input id="input17" class="input_default" style="left:163px; top:311px; width:58px; height:19px; "/>
  192. <caption id="caption17" class="cell_1" style="left:0px; top:309px; width:160px; height:23px; text-align:left; vertical-align:middle; ">건수 합계</caption>
  193. <caption id="caption12" class="cell_1" style="left:0px; top:359px; width:160px; height:23px; vertical-align:middle; ">본인부담금 합계</caption>
  194. <line id="line8" class="line_2" style="x1:0px; y1:407px; x2:281px; y2:407px; "/>
  195. <line id="line9" class="line_2" style="x1:0px; y1:432px; x2:281px; y2:432px; "/>
  196. <input id="input4" class="input_default" style="left:163px; top:461px; width:58px; height:19px; "/>
  197. <line id="line10" class="line_2" style="x1:0px; y1:457px; x2:281px; y2:457px; "/>
  198. <line id="line11" class="line_2" style="x1:0px; y1:482px; x2:281px; y2:482px; "/>
  199. <caption id="caption14" class="cell_1" style="left:0px; top:459px; width:160px; height:23px; vertical-align:middle; ">본인부담환급금 합계</caption>
  200. <input id="input5" class="input_default" style="left:163px; top:436px; width:58px; height:19px; "/>
  201. <caption id="caption16" class="cell_1" style="left:0px; top:434px; width:160px; height:23px; vertical-align:middle; ">보험자 부담금 합계</caption>
  202. <caption id="caption18" class="cell_1" style="left:0px; top:484px; width:160px; height:23px; vertical-align:middle; ">본인추가부담금 합계</caption>
  203. <input id="input6" class="input_default" style="left:163px; top:486px; width:58px; height:19px; "/>
  204. <input id="input7" class="input_default" style="left:163px; top:411px; width:58px; height:19px; "/>
  205. <caption id="caption19" class="cell_1" style="left:0px; top:409px; width:160px; height:23px; vertical-align:middle; ">청구액 합계</caption>
  206. <caption id="caption20" class="tit_2" style="left:5px; top:265px; width:70px; height:13px; ">F020.4</caption>
  207. <input id="input8" class="input_default" style="left:163px; top:511px; width:58px; height:19px; "/>
  208. <line id="line12" class="line_2" style="x1:0px; y1:507px; x2:281px; y2:507px; "/>
  209. <line id="line14" class="line_2" style="x1:0px; y1:707px; x2:281px; y2:707px; "/>
  210. <caption id="caption22" class="cell_1" style="left:0px; top:709px; width:160px; height:23px; vertical-align:middle; ">심사결정액 합계</caption>
  211. <caption id="caption24" class="cell_1" style="left:0px; top:509px; width:160px; height:23px; vertical-align:middle; ">위탁검사 직접지급금 합계</caption>
  212. <input id="input10" class="input_default" style="left:163px; top:711px; width:58px; height:19px; "/>
  213. <input id="input13" class="input_default" style="left:224px; top:411px; width:58px; height:19px; "/>
  214. <input id="input24" class="input_default" style="left:224px; top:511px; width:58px; height:19px; "/>
  215. <input id="input29" class="input_default" style="left:224px; top:711px; width:58px; height:19px; "/>
  216. <input id="input30" class="input_default" style="left:224px; top:361px; width:58px; height:19px; "/>
  217. <input id="input31" class="input_default" style="left:224px; top:336px; width:58px; height:19px; "/>
  218. <input id="input32" class="input_default" style="left:224px; top:386px; width:58px; height:19px; "/>
  219. <input id="input33" class="input_default" style="left:224px; top:311px; width:58px; height:19px; "/>
  220. <input id="input34" class="input_default" style="left:224px; top:461px; width:58px; height:19px; "/>
  221. <input id="input35" class="input_default" style="left:224px; top:436px; width:58px; height:19px; "/>
  222. <input id="input36" class="input_default" style="left:224px; top:486px; width:58px; height:19px; "/>
  223. <caption id="caption32" class="cell_1" style="left:163px; top:285px; width:58px; height:23px; vertical-align:middle; ">청구사항</caption>
  224. <line id="line22" class="line_2" style="x1:0px; y1:307px; x2:282px; y2:307px; "/>
  225. <caption id="caption33" class="cell_1" style="left:224px; top:285px; width:58px; height:23px; vertical-align:middle; ">심결사항</caption>
  226. <input id="input3" class="input_default" style="left:163px; top:586px; width:58px; height:19px; "/>
  227. <line id="line15" class="line_2" style="x1:0px; y1:582px; x2:281px; y2:582px; "/>
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  229. <line id="line16" class="line_2" style="x1:0px; y1:607px; x2:281px; y2:607px; "/>
  230. <input id="input12" class="input_default" style="left:224px; top:536px; width:58px; height:19px; "/>
  231. <line id="line17" class="line_2" style="x1:0px; y1:632px; x2:281px; y2:632px; "/>
  232. <line id="line18" class="line_2" style="x1:0px; y1:657px; x2:281px; y2:657px; "/>
  233. <input id="input15" class="input_default" style="left:224px; top:561px; width:58px; height:19px; "/>
  234. <line id="line19" class="line_2" style="x1:0px; y1:682px; x2:281px; y2:682px; "/>
  235. <input id="input16" class="input_default" style="left:163px; top:536px; width:58px; height:19px; "/>
  236. <line id="line20" class="line_2" style="x1:0px; y1:532px; x2:281px; y2:532px; "/>
  237. <input id="input18" class="input_default" style="left:224px; top:636px; width:58px; height:19px; "/>
  238. <line id="line21" class="line_2" style="x1:0px; y1:557px; x2:281px; y2:557px; "/>
  239. <input id="input19" class="input_default" style="left:224px; top:611px; width:58px; height:19px; "/>
  240. <input id="input20" class="input_default" style="left:224px; top:686px; width:58px; height:19px; "/>
  241. <input id="input21" class="input_default" style="left:224px; top:586px; width:58px; height:19px; "/>
  242. <caption id="caption11" class="cell_1" style="left:0px; top:534px; width:160px; height:23px; vertical-align:middle; ">본인부담금 합계</caption>
  243. <input id="input22" class="input_default" style="left:224px; top:661px; width:58px; height:19px; "/>
  244. <caption id="caption21" class="cell_1" style="left:0px; top:684px; width:160px; height:23px; vertical-align:middle; ">위탁검사 직접지급금 합계</caption>
  245. <caption id="caption23" class="cell_1" style="left:0px; top:634px; width:160px; height:23px; vertical-align:middle; ">본인부담환급금 합계</caption>
  246. <caption id="caption26" class="cell_1" style="left:0px; top:559px; width:160px; height:23px; vertical-align:middle; ">본인부담상한액초과금 합계</caption>
  247. <input id="input23" class="input_default" style="left:163px; top:561px; width:58px; height:19px; "/>
  248. <caption id="caption27" class="cell_1" style="left:0px; top:609px; width:160px; height:23px; vertical-align:middle; ">보험자 부담금 합계</caption>
  249. <caption id="caption28" class="cell_1" style="left:0px; top:659px; width:160px; height:23px; vertical-align:middle; ">본인추가부담금 합계</caption>
  250. <input id="input25" class="input_default" style="left:163px; top:636px; width:58px; height:19px; "/>
  251. <caption id="caption29" class="cell_1" style="left:0px; top:584px; width:160px; height:23px; vertical-align:middle; ">청구액 합계</caption>
  252. <input id="input26" class="input_default" style="left:163px; top:611px; width:58px; height:19px; "/>
  253. <input id="input28" class="input_default" style="left:163px; top:661px; width:58px; height:19px; "/>
  254. </group>
  255. <group id="grp_btn" scroll="auto" style="left:0px; top:757px; width:1195px; height:27px; ">
  256. <line id="line32" class="line_6" style="x1:0px; y1:0px; x2:1194px; y2:0px; "/>
  257. </group>
  258. <group id="group4" scroll="auto" style="left:0px; top:13px; width:1195px; height:744px; ">
  259. <button id="button26" class="btn2_letter2" style="left:1152px; top:100px; width:42px; height:19px; ">
  260. <caption>출력</caption>
  261. </button>
  262. <button id="button12" class="btn2_letter4" style="left:1085px; top:100px; width:64px; height:19px; ">
  263. <caption>엑셀저장</caption>
  264. </button>
  265. <group id="group5" style="left:0px; top:10px; width:1194px; height:70px; vertical-align:top; ">
  266. <shape id="roundrect2" class="roundrect_search" appearance="roundrect" ellipsewidth="10" ellipseheight="10" style="left:0px; top:0px; width:1194px; height:70px; background-color:#fffbf2; border-color:#ffd799; "/>
  267. <button id="button1" class="btn1_letter2" style="left:1123px; top:26px; width:56px; height:22px; ">
  268. <caption>조회</caption>
  269. </button>
  270. <line id="line26" class="line_4" style="x1:1108px; y1:7px; x2:1108px; y2:64px; border-color:#ffe4bb; border-left-style:solid; "/>
  271. <caption id="caption30" class="search_name" style="left:5px; top:43px; width:90px; height:17px; ">청구형태 :</caption>
  272. <select1 id="combo1" class="combo_search" appearance="minimal" style="left:95px; top:42px; width:80px; height:19px; ">
  273. <choices>
  274. <item>
  275. <label>combo1</label>
  276. <value>combo1</value>
  277. </item>
  278. </choices>
  279. </select1>
  280. <input id="input40" ref="/root/send/toacptym" class="input_search" style="left:675px; top:42px; width:80px; height:19px; "/>
  281. <caption id="caption34" class="search_name" style="left:585px; top:42px; width:90px; height:17px; ">접수번호 :</caption>
  282. <select1 id="radio3" ref="/root/send/termflag" appearance="full" cols="2" rows="1" overflow="visible" style="left:95px; top:10px; width:90px; height:17px; border-style:none; ">
  283. <choices>
  284. <item>
  285. <label>입원</label>
  286. <value>1</value>
  287. </item>
  288. <item>
  289. <label>외래</label>
  290. <value>2</value>
  291. </item>
  292. </choices>
  293. </select1>
  294. <select1 id="radio2" ref="/root/send/termflag" appearance="full" cols="4" rows="1" overflow="visible" style="left:675px; top:10px; width:180px; height:17px; border-style:none; ">
  295. <choices>
  296. <item>
  297. <label>전체</label>
  298. <value>1</value>
  299. </item>
  300. <item>
  301. <label>보험</label>
  302. <value>2</value>
  303. </item>
  304. <item>
  305. <label>보호</label>
  306. <value>3</value>
  307. </item>
  308. <item>
  309. <label>산재</label>
  310. <value>4</value>
  311. </item>
  312. </choices>
  313. </select1>
  314. <caption id="caption61" class="search_name" style="left:585px; top:10px; width:90px; height:17px; ">보험유형 :</caption>
  315. <caption id="caption62" class="search_name" style="left:5px; top:10px; width:90px; height:17px; ">내원유형 :</caption>
  316. <caption id="caption31" style="left:472px; top:11px; width:15px; height:15px; ">~</caption>
  317. <input id="input38" ref="/root/send/fromacptym" class="input_search" style="left:383px; top:10px; width:85px; height:19px; "/>
  318. <input id="input42" ref="/root/send/toacptym" class="input_search" style="left:486px; top:10px; width:85px; height:19px; "/>
  319. <caption id="caption37" class="search_name" style="left:196px; top:10px; width:90px; height:17px; ">기간 :</caption>
  320. <select1 id="radio1" ref="/root/send/termflag" appearance="full" cols="2" rows="1" overflow="visible" style="left:265px; top:10px; width:110px; height:17px; border-style:none; ">
  321. <choices>
  322. <item>
  323. <label>청구월</label>
  324. <value>1</value>
  325. </item>
  326. <item>
  327. <label>진료월</label>
  328. <value>2</value>
  329. </item>
  330. </choices>
  331. </select1>
  332. <caption id="caption38" class="search_name" style="left:196px; top:42px; width:90px; height:17px; ">청구차수 :</caption>
  333. <select1 id="combo2" class="combo_search" appearance="minimal" style="left:286px; top:42px; width:80px; height:19px; ">
  334. <choices>
  335. <item>
  336. <label>combo1</label>
  337. <value>combo1</value>
  338. </item>
  339. </choices>
  340. </select1>
  341. <select1 id="combo3" class="combo_search" appearance="minimal" style="left:471px; top:42px; width:80px; height:19px; ">
  342. <choices>
  343. <item>
  344. <label>combo1</label>
  345. <value>combo1</value>
  346. </item>
  347. </choices>
  348. </select1>
  349. <caption id="caption39" class="search_name" style="left:381px; top:42px; width:90px; height:17px; ">청구분야 :</caption>
  350. <select id="checkbox1" overflow="visible" appearance="full" style="left:955px; top:10px; width:120px; height:15px; border-style:none; ">
  351. <choices>
  352. <item>
  353. <label>과별 sum</label>
  354. <value>checkbox1</value>
  355. </item>
  356. </choices>
  357. </select>
  358. <select id="checkbox2" overflow="visible" appearance="full" style="left:955px; top:28px; width:120px; height:15px; border-style:none; ">
  359. <choices>
  360. <item>
  361. <label>분야별 sum</label>
  362. <value>checkbox1</value>
  363. </item>
  364. </choices>
  365. </select>
  366. <select id="checkbox3" overflow="visible" appearance="full" style="left:955px; top:45px; width:120px; height:15px; border-style:none; ">
  367. <choices>
  368. <item>
  369. <label>접수번호별 sum</label>
  370. <value>checkbox1</value>
  371. </item>
  372. </choices>
  373. </select>
  374. </group>
  375. <group id="group6" style="left:0px; top:10px; width:1194px; height:75px; vertical-align:top; ">
  376. <shape id="roundrect3" class="roundrect_search" appearance="roundrect" ellipsewidth="10" ellipseheight="10" style="left:0px; top:0px; width:1194px; height:75px; background-color:#fffbf2; border-color:#ffd799; "/>
  377. <button id="button2" class="btn1_letter2" style="left:1123px; top:26px; width:56px; height:22px; ">
  378. <caption>조회</caption>
  379. <script type="javascript" ev:event="DOMActivate">
  380. <![CDATA[
  381. submit("TRPIF80200");
  382. ]]>
  383. </script>
  384. </button>
  385. <line id="line28" class="line_4" style="x1:1108px; y1:7px; x2:1108px; y2:64px; border-color:#ffe4bb; border-left-style:solid; "/>
  386. <caption id="caption35" class="search_name" style="left:255px; top:42px; width:90px; height:17px; ">청구형태 :</caption>
  387. <select1 id="radio4" ref="/root/send/termflag" appearance="full" cols="2" rows="1" overflow="visible" style="left:730px; top:10px; width:90px; height:17px; border-style:none; ">
  388. <choices>
  389. <item>
  390. <label>입원</label>
  391. <value>1</value>
  392. </item>
  393. <item>
  394. <label>외래</label>
  395. <value>2</value>
  396. </item>
  397. </choices>
  398. </select1>
  399. <caption id="caption41" class="search_name" style="left:335px; top:10px; width:90px; height:17px; ">보험유형 :</caption>
  400. <caption id="caption42" class="search_name" style="left:640px; top:10px; width:90px; height:17px; ">내원유형 :</caption>
  401. <caption id="caption43" style="left:226px; top:11px; width:15px; height:15px; ">~</caption>
  402. <input id="input39" ref="/root/send/fromacptym" class="input_search" style="left:137px; top:10px; width:85px; height:19px; "/>
  403. <input id="input41" ref="/root/send/toacptym" class="input_search" style="left:240px; top:10px; width:85px; height:19px; "/>
  404. <select1 id="radio6" ref="/root/send/termflag" appearance="full" cols="2" rows="1" overflow="visible" style="left:19px; top:10px; width:110px; height:17px; border-style:none; ">
  405. <choices>
  406. <item>
  407. <label>청구월</label>
  408. <value>1</value>
  409. </item>
  410. <item>
  411. <label>송신월</label>
  412. <value>2</value>
  413. </item>
  414. </choices>
  415. </select1>
  416. <caption id="caption45" class="search_name" style="left:550px; top:42px; width:90px; height:17px; ">청구차수 :</caption>
  417. <select1 id="combo5" class="combo_search" appearance="minimal" style="left:640px; top:41px; width:80px; height:19px; ">
  418. <choices>
  419. <item>
  420. <label>combo1</label>
  421. <value>combo1</value>
  422. </item>
  423. </choices>
  424. </select1>
  425. <caption id="caption46" class="search_name" style="left:16px; top:42px; width:90px; height:17px; ">청구분야 :</caption>
  426. <select id="checkbox4" overflow="visible" appearance="full" style="left:955px; top:5px; width:120px; height:15px; border-style:none; ">
  427. <choices>
  428. <item>
  429. <label>시군구별</label>
  430. <value>checkbox1</value>
  431. </item>
  432. </choices>
  433. </select>
  434. <select id="checkbox5" overflow="visible" appearance="full" style="left:955px; top:22px; width:120px; height:15px; border-style:none; ">
  435. <choices>
  436. <item>
  437. <label>손보사별</label>
  438. <value>checkbox1</value>
  439. </item>
  440. </choices>
  441. </select>
  442. <select id="checkbox6" overflow="visible" appearance="full" style="left:955px; top:39px; width:120px; height:15px; border-style:none; ">
  443. <choices>
  444. <item>
  445. <label>산재청구처별</label>
  446. <value>checkbox1</value>
  447. </item>
  448. </choices>
  449. </select>
  450. <select1 id="radio7" ref="/root/send/termflag" appearance="full" cols="2" rows="1" overflow="visible" style="left:110px; top:42px; width:135px; height:17px; border-style:none; ">
  451. <choices>
  452. <item>
  453. <label>청구분야</label>
  454. <value>1</value>
  455. </item>
  456. <item>
  457. <label>청구과</label>
  458. <value>2</value>
  459. </item>
  460. </choices>
  461. </select1>
  462. <select id="checkbox7" overflow="visible" appearance="full" style="left:425px; top:10px; width:50px; height:15px; border-style:none; ">
  463. <choices>
  464. <item>
  465. <label>전체</label>
  466. <value>checkbox1</value>
  467. </item>
  468. </choices>
  469. </select>
  470. <select id="checkbox8" overflow="visible" appearance="full" style="left:475px; top:10px; width:50px; height:15px; border-style:none; ">
  471. <choices>
  472. <item>
  473. <label>보험</label>
  474. <value>checkbox1</value>
  475. </item>
  476. </choices>
  477. </select>
  478. <select id="checkbox9" overflow="visible" appearance="full" style="left:525px; top:10px; width:50px; height:15px; border-style:none; ">
  479. <choices>
  480. <item>
  481. <label>보호</label>
  482. <value>checkbox1</value>
  483. </item>
  484. </choices>
  485. </select>
  486. <select id="checkbox10" overflow="visible" appearance="full" style="left:575px; top:10px; width:50px; height:15px; border-style:none; ">
  487. <choices>
  488. <item>
  489. <label>산재</label>
  490. <value>checkbox1</value>
  491. </item>
  492. </choices>
  493. </select>
  494. <select id="checkbox11" overflow="visible" appearance="full" style="left:466px; top:43px; width:70px; height:15px; border-style:none; ">
  495. <choices>
  496. <item>
  497. <label>보완청구</label>
  498. <value>checkbox1</value>
  499. </item>
  500. </choices>
  501. </select>
  502. <select id="checkbox12" overflow="visible" appearance="full" style="left:341px; top:43px; width:55px; height:15px; border-style:none; ">
  503. <choices>
  504. <item>
  505. <label>원청구</label>
  506. <value>checkbox1</value>
  507. </item>
  508. </choices>
  509. </select>
  510. <select id="checkbox13" overflow="visible" appearance="full" style="left:396px; top:43px; width:70px; height:15px; border-style:none; ">
  511. <choices>
  512. <item>
  513. <label>추가청구</label>
  514. <value>checkbox1</value>
  515. </item>
  516. </choices>
  517. </select>
  518. <select id="checkbox14" overflow="visible" appearance="full" style="left:955px; top:55px; width:120px; height:15px; border-style:none; ">
  519. <choices>
  520. <item>
  521. <label>DRG</label>
  522. <value>checkbox1</value>
  523. </item>
  524. </choices>
  525. </select>
  526. </group>
  527. <caption id="caption40" class="tit_2" style="left:5px; top:105px; width:87px; height:13px; ">청구현황</caption>
  528. <line id="line29" class="line_1" style="x1:0px; y1:120px; x2:1194px; y2:120px; "/>
  529. <datagrid id="grd_clamstatus" nodeset="/root/main/list01/gridclamstatus" class="datagrid1" caption="내원유형^청구월^진료월^청구과^청구번호^접수일자^접수번호^명일련^등록번호^수진자^청구건수^총진료비^본인부담액^청구액^본인부담상한액^청구장애인^상병코드^내원일수^투약일수^요양개시일^특정기호^진료기간^심사자^진료의^진료의코드^보험유형^조합기호^명칭^산재유형^비고" colsep="^" colwidth="62, 68, 63, 56, 66, 68, 75, 100, 100, 82, 92, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100" dataheight="23" defaultrows="2" focuscolor="#b9e5fb" mergecellsfixedrows="bycolrec" rowheader="seq" rowheight="35" rowsep="|" style="left:0px; top:125px; width:1194px; height:615px; ">
  530. <col ref="ioflag"/>
  531. <col ref="clamym"/>
  532. <col ref="ordym"/>
  533. <col ref="clamdeptcd"/>
  534. <col ref="clamno"/>
  535. <col ref="acptdd"/>
  536. <col ref="acptno"/>
  537. <col ref="docuseqno"/>
  538. <col ref="pid"/>
  539. <col ref="patnm"/>
  540. <col/>
  541. <col ref="medcaretotamt"/>
  542. <col ref="ownbamt"/>
  543. <col ref="insuclamamt"/>
  544. <col ref="ownbmaxexamt"/>
  545. <col ref="handcaprfund"/>
  546. <col/>
  547. <col/>
  548. <col/>
  549. <col/>
  550. <col/>
  551. <col/>
  552. <col ref="judgrid"/>
  553. <col ref="orddrid"/>
  554. <col/>
  555. <col ref="insukind"/>
  556. <col ref="insuno"/>
  557. <col/>
  558. <col/>
  559. </datagrid>
  560. </group>
  561. </xhtml:body>
  562. </xhtml:html>